Tumorigenesis of basal muscle invasive bladder cancer was mediated by PTEN protein degradation resulting from SNHG1 upregulation

Background Phosphatase and tensin homolog deleted on chromosome ten (PTEN) serves as a powerful tumor suppressor, and has been found to be downregulated in human bladder cancer (BC) tissues. Despite this observation, the mechanisms contributing to PTEN’s downregulation have remained elusive. Methods We established targeted genes’ knockdown or overexpressed cell lines to explore the mechanism how it drove the malignant transformation of urothelial cells or promoted anchorageindependent growth of human basal muscle invasive BC (BMIBC) cells. The mice model was used to validate the conclusion in vivo. The important findings were also extended to human studies. Results In this study, we discovered that mice exposed to N-butyl-N-(4-hydroxybu-tyl)nitrosamine (BBN), a specific bladder chemical carcinogen, exhibited primary BMIBC accompanied by a pronounced reduction in PTEN protein expression in vivo. Utilizing a lncRNA deep sequencing high-throughput platform, along with gain- and loss-of-function analyses, we identified small nucleolar RNA host gene 1 (SNHG1) as a critical lncRNA that might drive the formation of primary BMIBCs in BBN-treated mice. Cell culture results further demonstrated that BBN exposure significantly induced SNHG1 in normal human bladder urothelial cell UROtsa. Notably, the ectopic expression of SNHG1 alone was sufficient to induce malignant transformation in human urothelial cells, while SNHG1 knockdown effectively inhibited anchorage-independent growth of human BMIBCs. Our detailed investigation revealed that SNHG1 overexpression led to PTEN protein degradation through its direct interaction with HUR. This interaction reduced HUR binding to ubiquitin-specific peptidase 8 (USP8) mRNA, causing degradation of USP8 mRNA and a subsequent decrease in USP8 protein expression. The downregulation of USP8, in turn, increased PTEN polyubiquitination and degradation, culminating in cell malignant transformation and BMIBC anchorageindependent growth. In vivo studies confirmed the downregulation of PTEN and USP8, as well as their positive correlations in both BBN-treated mouse bladder urothelium and tumor tissues of bladder cancer in nude mice. Conclusions Our findings, for the first time, demonstrate that overexpressed SNHG1 competes with USP8 for binding to HUR. This competition attenuates USP8 mRNA stability and protein expression, leading to PTEN protein degradation, consequently, this process drives urothelial cell malignant transformation and fosters BMIBC growth and primary BMIBC formation. Supplementary Information The online version contains supplementary material available at 10.1186/s13046-024-02966-4.

Cell culture and transfection Human normal bladder urothelial cell line UROtsa was employed in accordance with our earlier publications [25].Additionally, the human bladder cancer cell line U5637, kindly provided by Dr. Xue-Ru Wu of the Departments of Urology at New York University School of Medicine, was utilized in this study.Both cell lines were cultured at 37 °C in a 5% CO 2 incubator using RPMI 1640 medium supplemented with 10% fetal bovine serum (FBS) and 2 mM L-glutamine.The authenticity of all cell lines was verified before/ after usage in the research by Genetica DNA Laboratories, utilizing the PowerPlex ® 16 HS System (Burlington, NC, USA).Transfections were executed using PolyJet ™ DNA in vitro transfection reagent (SignaGen Laboratories, Rockville, MD, USA), in line with the manufacturer's guidelines.Selection of stable transfectants was performed using puromycin, hygromycin B or G418 (Life Technologies), depending on the constructs, for a period of 4-6 weeks.Surviving cells post-antibiotics selection were pooled to form stable mass transfectants.

Western blot
For the experiments conducted in this study, UROtsa cells and U5637 cells, along with their transfectants, were synchronized by being cultured in 0.1% FBS 1640 medium for 12 h.Subsequently, they were cultured in 10% FBS medium for an additional 12 h prior to collection for further analysis, unless otherwise specified.UROtsa cells underwent treatment with BBN (400 μM) for various durations as indicated in the study.Cells extracts were prepared using cell lysis buffer, and protein concentrations were ascertained prior to performing Western blots, as detailed in our previous studies [21].The resulting images were captured utilizing the PhosphorImager Typhoon FLA 7000 imager (GE Healthcare, Pittsburgh, PA).

RNA immunoprecipitation (RIP) assay
The RIP assay was carried out following the protocol delineated in our earlier publications [21].To summarize, approximately 1 × 10 7 cells were collected and treated with polysome lysis buffer.Subsequently, the cell lysates were centrifuged at 14000 g for 10 min at 4 °C.Antibodies against HUR or control IgG (Santa Cruz, CA, USA), along with protein Gagarose (Santa Cruz, CA, USA), were added to the supernatants and incubated overnight at 4 °C in NET2 buffer (50 mM Tris-HCl, pH7.4,150 mM sodium chloride, 1 mM magnesium chloride, 0.05% IGEPAL, 50 U/mL RNase OUT, 50U/mL Superase IN, 1 mM dithiothreitol, and 30 mM EDTA. Following three washes, the beads were resuspended in 100 μL NET2 and 100 μL SDS-TE (20 mM Tris-HCl, pH 7.5, 2 mM EDTA, and 2% sodium dodecyl sulfate) and then incubated at 55 °C for 30 min, with occasional mixing.The RNAs within the bead mixture were then extracted using miRNeasy Mini Kit (QIAGEN, Valencia, CA, USA), and quantitative real-time PCR was conducted to identify the specific RNAs within the immunecomplex as previously detailed [23].
Immunoprecipitation assay U5637 cells were cultured in 10-cm dishes until they reached 80-85% confluence.Following this, the cells were transiently transfected with the indicated plasmids.As per our previous study [26], 36 h post-transfection, the cells were lysed in 1 × cell lysis buffer (Cell Signaling Technology, Beverly, MA, USA) on ice.The cell lysate (500 mg) was incubated with a specific antibody and protein G-agarose beads at 4 °C overnight.The beads were washed 4-5 times with 1 × cell lysis buffer before being processed for Western blot assays.

Assay of cell proliferation
Cells were inoculated into 96-well plates and cultured until they achieved 70% confluence.The cells underwent an initial incubation in a medium supplemented with 0.1% FBS for 12 h, followed by further incubation in a medium containing 10% FBS for a specified duration.Post-cultivation, the supernatant in the 96-well plates was aspirated, and each well was supplemented with an equilibrated volume of ATP reagent and PBS.This was homogenized using an orbital shaker and allowed a quiescent period of 10 min for adequate mixing.The resultant luminescence was quantified using a Centro LB 960 luminometer (Berthold Technologies, Bad Wildbad, Germany).The Relative Proliferation Index was defined as the relative ATP values derived using the ATP measurement of cells harvested on the first day of culture.
Anchorage-independent growth assay The experimental protocol of anchorage-independent growth commenced with 0.5% of the acrylamide lower gel layer, followed by the overlay of 0.33% upper gel mixed with quantitatively adjusted cells.The plates were incubated at 37 °C in a humidified atmosphere with 5% CO 2 .Microscopic examination and documentation of clonal expansion in sixwell plates were performed, with emphasis on quantifying and analyzing clones exceeding 32 cells in size.Detailed steps can be found in our previous research [25].

Determination of cell cycle
Cells were seeded into sixwell plates and cultured till around 40% confluence, and then cultured sequentially in media containing 0.1% FBS for 36 h and then followed by 10% FBS for 12 h.The cells were then trypsinized, transferred into EP tubes, and fixed overnight at 4 °C in 70% ethanol.A solution of 40 μL RNase A and 360 μL Propidium Iodide (PI) was added and the samples were incubated at ambient temperature for 30 min.Finally, cellular analysis was conducted using flow cytometry on a CytoFLEX platform (Beckman Coulter, San Diego, California, USA).Detailed methodologies of these experimental procedures are comprehensively described in our previously published studies [27,28].

Xenograft tumorigenic model in vivo nude mice
The xenograft tumor experiments were conducted at the Animal Institute of Wenzhou Medical University, in compliance with the protocols sanctioned by the Medical Experimental Animal Care Commission of Wenzhou Medical University.A total of sixteen female athymic nude mice, aged 3-4 weeks, were obtained from Shanghai Silaike Experimental Animal Company (license no.SCXK, Shanghai 20100002).At 5-6 weeks of age, the mice were randomly divided into two distinct groups as designated and then subcutaneously injected with various BC cell transfectants (5 × 10 6 suspended in 100 μL PBS) in the axillary region.These mice were maintained in a sterile environment and were in accordance with the guidelines of the American Association for the Accreditation of Laboratory Animal Care.The development and size of tumors were monitored and measured twice a week using calipers, with the volume calculated using the formula: volume (mm 3 ) = (width 2 [mm 2 ] × length [mm])/2.Four weeks' post-injection, the mice were euthanized, and the tumors were surgically excised, photographed and weighed.There were no premature deaths or required sacrifices before the conclusion of the in vivo study.
Quantitative real-time PCR Total RNA was isolated utilizing TRIzol reagent (Invitrogen, Carlsbad, CA, USA), following the manufacturer's guidelines.Subsequent cDNA synthesis was carried out with a Thermo-Script RT-PCR system (Invitrogen, Carlsbad, CA, USA).PCR amplification was executed using PowerUp SYBR Green Master Mix (Invitrogen, Grand Island, NY, USA), in conjunction with specific primers, as detailed in Table 1.

Luciferase reporter assay
The assessment of luciferase activity was carried out using a luciferase assay system kit (Promega Corp., Madison, WI, USA), in alignment with previously described methods [29].Cells were transiently co-transfected with pRL-TK together and either the associated promoter-driven luciferase reporter or mRNA 3'-UTR luciferase reporter.24 h' post-transfection, cell extracts were prepared and subjected to the luciferase assay using the designated kit.The luciferase activity was normalized against the internal TK signal, and the outcomes are presented as the mean ± SE from triplicates experiments.

Experiments for mouse exposed to BBN in drinking water
The C57BL/6 mice, aged 6 to 8 weeks, were randomly allocated into two main groups: a vehicle-treated control group and a group treated with BBN [22,30].Mice in BBN-treated group were administered BBN (0.05%) in their drinking water for the specified time periods, while the control group received regular drinking water.Upon completion of the treatment, the mice were euthanized, and their bladder were surgically removed, photographed, and dissected.A portion of each bladder was fixed overnight in 4% paraformaldehyde at 4 °C, then processed for paraffin embedding, followed by hematoxylin and eosin (H & E) staining.The remaining bladder tissue was used to harvest mouse urothelium, subsequently evaluated for SNHG1 expression levels using Real-time PCR.
Immunohistochemistry Staining (IHC) Bladder tissues from the mice were immunostained with specific antibodies targeting PTEN (Beverly, MA, USA) and USP8 (Rosemont, IL, USA).The resulting immunostaining images were captured utilizing the AxioVision Rel.4.6 computerized image analysis system (Carl Zeiss, Oberkochen, Germany).Protein expression levels were quantified by calculating the integrated optical density per stained area (IOD/area) with Image-Pro Plus version Human GAPDH 5'-GAT GAT CTT GAG GCT GTT GTC-3' 5'-CAG GGC TGC TTT TAA CTC TG-3' 6.0 (Media Cybernetics, MD, USA).The IHC-stained sections were evaluated at 400-fold magnifications, and at least 5 representative fields from each section were analyzed to calculate the optical density, based on characteristic photographs.
Statistical methods All statistical analysis was conducted using GraphPad Prism 5.0.Student's t-test was applied to determine the significance between different groups, while the correlation between two continuous variables was assessed using Pearson coefficient.Data are presented as the means ± standard deviation (SD), and the Student's t-test was employed to determine the p-value when comparing two continuous datasets.A p-value of less than 0.05 was considered statistically significant.

BBN treatment resulted in primary BMIBC formation concurrent with remarkably induction of SNHG1 in vivo, while overexpressed SNHG1 promoted tumorigenicity of human BMIBCs in nude mice
BBN is a specific carcinogen for bladder cancer.When mice were exposed to BBN in their drinking water for over 18 weeks, there was a 100% (12/12) incidence rate of high-grade, muscleinvasive BCs [30].Our data showed that extended exposure to BBN led to a gradual increase in the expression of BMIBC biomarkersnamely KRT14, KRT5, and CD44 in the urothelium of mouse bladders (Fig. 1A-D).After 18 weeks of BBN treatment, the mice essentially developed primary BMIBC (Fig. 1A-D).The results obtained from using the Illumina HiSeqTM2000/2500 highthroughput platform to evaluate 5442 known lncRNAs in BBNtreated mouse urothelium revealed that BBN treatment for 20 weeks (n = 10) either up-or down-regulated 17 lncRNAs in mouse urothelium as compared with vehicle-treated (n = 10) mice (Fig. 1E, Table S1).We have uploaded the raw sequencing data to the shared platform Github.The detailed link is https:// github.com/ tengd ali90/ BBN-induc ed-bladd er-cancer/ issues/1.Furthermore, real-time PCR analysis demonstrated a timedependent increase in SNHG1 expression in the mouse bladder urothelium upon BBN exposure (Fig. 1F).Similar trends were observed in The Cancer Genome Atlas (TCGA) database, which showed elevated SNHG1 expression in patients with bladder cancer when compared to normal bladder tissues (Fig. S1A and B).
We also investigated SNHG1 expression in normal human bladder urothelial cell (UROtsa) and various human bladder cancer cell lines such as J82, UMUC3, T24T, U5637.Notably, SNHG1 level was significantly increased in J82, UMUC3, T24T, U5637 in comparison to that in UROtsa cell line (Fig. S2).Consistent with the effects of BBN observed in mouse urothelium in vivo and human BC patients, exposure of UROtsa cells to BBN also caused a time-dependent SNHG1 induction in comparison to these in vehicle-treated cells (Fig. 1G).
To determine the potent oncogenic activity of SNHG1 in vivo, SNHG1 overexpressed and its Vector scramble transfectants were subcutaneously injected into nude mice.The ectopic expression of SNHG1 remarkably accelerated xenograft tumor growth, increasing the tumor burden (weight) by over 658% compared to the Vector transfectants (p < 0.05, n = 8) (Figs.1H-I, S3A).
Immunohistochemical staining further revealed a significantly upregulation of the proliferation marker Ki67 in SNHG1-overexpressing tumor tissues, confirming that SNHG1 overexpression enhances BMIBC tumorigenicity in vivo (Fig. S3B-C).

Ectopic expression of SNHG1 alone was sufficient to drive the malignant transformation of normal human urothelial cells and to enhance the anchorage-independent growth capabilities of BMIBC cell lines
Our previous studies indicated that UROtsa cells repeatedly exposed to BBN for over 6 months gain the capability of anchorage-independent growth in soft agar, indicating malignant transformation of human urothelial cells [31].Tumorigenic ability of transformed UROtsa cells in vivo animal models had also been reported [32].To elucidate the functional role of SNHG1 in this transformation, we stably transfected SNHG1 expressing construct into UROtsa cells.As evidenced in Figs.2A-B and S4A, the ectopic expression of SNHG1 alone was sufficient to induce malignant transformation of UROtsa cells, suggesting that SNHG1 induction by BBN plays a critical role in driving the malignant transformation of urothelial cell.Moreover, SNHG1 also augmented EGF-induced urothelial cell transformation (Figs. 2B and S4A).Consistently, targeted SNHG1 knockdown in human BMIBC U5637 or T24T cells dramatically inhibited their anchorage-independent growth, while forced SNHG1 expression substantially enhanced this capability (Figs.2C-J, S4B-E).Our results also revealed that SNHG1 overexpression accelerated the cell proliferation and cell cycle progression of UROtsa and T24T cells (Fig. S5A-D), while its downregulation led to cell cycle arrest in T24T cells (Fig. S5E-F).Taken together, these results underscore that SNHG1 not only serves as a driving force for the malignant transformation of UROtsa cells, but also fosters anchorage-independent growth in human BMIBC cells in vitro.

SNHG1 overexpression led to PTEN protein downregulation, in turn facilitated urothelial cell transformation and BMIBC anchorage-independent growth
In light of the existing reports that p63α, PTEN, PHLPP1 and PHLPP2 are key regulators of cell transformation and cancer cell proliferation [7,14,25,[33][34][35], we investigated the expression levels of these proteins in UROtsa(SNHG1) vs. UROtsa(Vector) cells and in U5637(shSNHG1) vs. U5637(Nonsense) cells and in T24T(shSNHG1) vs. T24T(Nonsense) cells.As shown in Fig. 3A, SNHG1 overexpression in UROtsa cells led to a markedly attenuation of PTEN protein levels without affecting other proteins such as PHLPP2, PP2A-A, PP2A-B, or PP2A-C.Although induction of p63α and PHLPP1 was noticeable in UROtsa(SNHG1) cells (Fig. 3A), their alterations did not consistent with SNHG1-mediated promotion of urothelial transformation.Consistently, knockdown of SNHG1, elevated PTEN expression levels in U5637 or T24T cells (Fig. 3B-C).Phosphorylation of AKT at T308 (p-AKT (T308)) can be an indicator of loss of PTEN activity [36].Our results showed that p-AKT (T308) was increased in UROtsa(SNHG1) vs. UROtsa(Vector) cells, while it was decreased in T24T(shSNHG1) vs. T24T(Nonsense) cells, without altering the overall AKT protein levels (Fig. 3D-E).The data based on TCGA showed that PTEN protein level was higher in T1 ~ 2 vs. T3 ~ 4 or M0 vs. M1 Fig. 1 BBN treatment led to the primary formation of BMIBC, coinciding with a remarkable induction of SNHG1 in vivo.Concurrently, the overexpression of SNHG1 was observed to enhance tumorigenicity in nude mice.A-D BBN treatment induced protein alterations of KRT14, KRT5 and CD44 in vivo.The protein levels were quantitated and presented by IOD/area.E A heat map illustrated the high-throughput sequencing results of BBN mouse urothelium at varying stages.F Mice in the BBN-treated group were administered BBN (0.05%) treatments through their drinking water as indicated, while the negative control group was given normal drinking water.The mice were sacrificed at specific time points, and their bladders were surgically removed to collect mouse urothelium.Real-time PCR was employed to assess SNHG1 expression levels.G Human normal bladder urothelial cell line UROtsa cells were treated with 400 μM BBN for different times as indicated.The cells were then extracted for total RNA isolation with TRIzol reagent and real-time PCR was performed to determine SNHG1 expression levels.GAPDH was used as an internal control.M, indicates month.H-I Athymic nude mice were subcutaneously injected in the right axillary region with SNHG1overexpressed cells and corresponding vector scramble transfectants (5 × 10 6 suspended in 100 μL PBS).Six weeks' post-injection, the mice were sacrificed, and the tumors were surgically excised and photographed (H), as well as weighed (I).An asterisk (*) denotes a significant increase compared to Vector transfectants (p < 0.05) categories in patients with bladder cancer (Fig. S1C and  D).Those results indicate that SNHG1 overexpression selectively attenuates PTEN protein expression in BCs, suggesting that PTEN attenuation might contribute to SNHG1-induced UROtsa cell transformation.

Overexpressed SNHG1 promoted PTEN protein degradation
To delve deeper into the molecular mechanisms responsible for SNHG1 downregulation of PTEN expression, we initially assessed PTEN mRNA levels in UROtsa cells stably transfected with SNHG1 overexpressing construct, Fig. 2 Ectopic expression of SNHG1 alone was sufficient to drive to the malignant transformation of normal human bladder urothelial cell and to enhance the anchorageindependent growth of human BMIBC cell lines.A, C, E UROtsa (A), U5637 (C) and T24T (E) cells were stably transfected with a plasmid constitutively expressing human SNHG1 and real-time PCR was performed to identify the stable transfectants.B, D, F UROtsa(SNHG1) and UROtsa(Vector) (B), U5637(SNHG1) and U5637(Vector) (D), T24T(SNHG1) and T24T(Vector) (F) cells underwent an anchorage-independent assay, the number of colonies was counted, and the results were presented as colonies per 50,000 or 10,000 cells, with bars representing the mean ± SD.In (B), An asterisk (*) indicates a significant increase compared to the medium control in UROtsa(Vector) cells, and the symbol (#) denotes a significant increase compared to UROtsa(Vector) cells treated with EGF (p < 0.01).In (A, C-F), an asterisk (*) signifies a significant increase compared to cells transfected with Vector.G and I Cell extracts from various U5637 (G) or T24T (I) transfectants were analyzed by real-time PCR to identify the knockdown efficiency of shRNA targeting SNHG1.H and J U5637(shSNHG1#1) cells, U5637(shSNHG1#2) cells versus U5637(Nonsense) cells (H), T24T(shSNHG1#1) cells, T24T(shSNHG1#2) cells versus T24T(Nonsense) cells (J) were subjected to an anchorage-independent soft agar growth assay as detailed in the Materials and Methods section.The number of colonies, each with more than 32 cells, was counted, and the results were presented as colonies/10 4 cells.Bars show the mean ± SD, and an asterisk (*) signifies a significant decrease compared to UROtsa(Nonsense) transfectants or T24T(Nonsense) transfectants (p < 0.01) and compared them to cells transfected with its vector control.Figure 4A reveals no discernible differences in PTEN mRNA levels between UROtsa(SNHG1) and UROtsa(Vector) transfectants.This finding was also observed in U5637(shSNHG1) vs. U5637(Nonsense) cells (Fig. 4B), indicating that SNHG1-mediated PTEN protein downregulation is beyond the mRNA level.We next determined the potential involvement of the PTEN mRNA 3'-UTR in SNHG1 regulation of PTEN protein expression.PTEN mRNA 3'-UTR luciferase reporter was transfected into UROtsa(Vector) and UROtsa(SNHG1) cells.The results showed that PTEN mRNA 3'UTR-driven luciferase activities were comparable between UROtsa(SNHG1) and UROtsa(Vector) cells or in U5637(shSNHG1) cells in comparison to U5637(Nonsense) cells (Fig. 4C and D).
Based on the observations above, we investigated the influence of SNHG1 overexpression on PTEN protein degradation rate.As shown in Fig. 4E, we pre-treated UROtsa(Vector) and UROtsa(SNHG1) cells with MG132 for PTEN protein accumulation and then the protein synthesis inhibitor CHX was applied to the cells over a following experimental time course to investigate PTEN protein degradation rates in SNHG1 overexpressed cells in comparison to scramble vector transfectants.The results revealed that SNHG1 overexpression remarkably accelerated PTEN protein degradation rate as compared to that observed in UROtsa(Vector), suggesting that SNHG1 promotes PTEN protein degradation in UROtsa cells.Corroborating this, knockdown of SNHG1 in U5637 cells profoundly reduced PTEN protein degradation rate in comparison to that U5637(Nonsense) cells G and H UROtsa(SNHG1/PTEN) and UROtsa(SNHG1/Vector) transfectants were analyzed for anchorage-independent growth in the presence or absence of EGF, as indicated.Representative images of the colonies were captured under microscopy after a 3-week incubation period.The colony count was conducted under microscopy, with results presented as colonies per 50,000 cells.An asterisk (*) signifies a significant increase compared to the medium control, while the symbol (#) denotes significant inhibition compared to UROtsa(SNHG1/Vector) cells treated with EGF (p < 0.01).I PTEN shRNA construct was stably transfected into U5637(shSNHG1#1) cells, and PTEN knockdown efficiency was verified by Western blotting.J and K U5637(shSNHG1#1/shPTEN) cells versus U5637(shSNHG1#1/ Nonsense) cells were subjected to an anchorage-independent soft agar assay.The number of colonies, each with more than 32 cells, was counted, and the results were presented as colonies/10 4 cells.Bars depict the mean ± SD, and an asterisk (*) indicates a significant increase compared to the U5637(shSNHG1#1/Nonsense) transfectant (p < 0.01) (Fig. 4F), greatly supporting that overexpressed SNHG1 promotes PTEN protein degradation.

Overexpressed SNHG1 promoted PTEN protein degradation through attenuation of USP8 expression
Ubiquitination and de-ubiquitination are well-established mechanisms governing protein degradation across a variety of cancers [37,38].Specifically, the ubiquitination process involves a sequential cascade of E1, E2, and E3 enzymes, while de-ubiquitinating enzymes can reverse this modification by removing ubiquitin chains from targeted proteins [37,39,40].Prominent E3 ubiquitin ligases include NEDD4, XIAP, FBW7 and ITCH, while USP8, USP4, USP28 are among a family of over 70 deubiquitinases (DUBs) present in humans and other mammals [37,39,41].PTEN protein degradation was recently reported to be mediated by the E3 ubiquitin ligase NEDD4 [42].To determine the SNHG1 downstream effectors that are responsible for promoting PTEN protein degradation, we evaluated the effect of SNHG1 expression on NEDD4, XIAP, FBW7, ITCH, USP8, USP4, USP28 in UROtsa(SNHG1) vs. UROtsa(Vector) and in U5637(shSNHG1) vs. U5637(Nonsense) cells.As shown in Fig. 5A, overexpression of SNHG1 specifically inhibited USP8 expression with no remarkable effect on the expression of other potential E3 ubiquitin ligases or Ubiquitin specific peptidases in UROtsa cells.Consistently, the impaired expression of SNHG1 by its specific shRNA resulted in a dramatic increase in USP8, NEDD4 and ITCH, and no significant impact on expression of XIAP, FBW7, USP4 and USP28 in U5637 cells (Fig. 5B).
Considering the influencing of SNHG1 on expression of these protein expressions and their biological functions, we hypothesized that USP8 could be a downstream effector of SNHG1, mediating PTEN protein degradation.To validate this notion, we stably transfected Flag-USP8 into UROtsa(SNHG1), while shRNAs specifically targeting USP8 (shUSP8#1 and shUSP8#2) were stably introduced into U5637(shSNHG1#1).Our data demonstrated that ectopic expression of Flag-USP8 restored PTEN levels in UROtsa(SNHG1) cells, while USP8 knockdown attenuated PTEN levels in U5637(shSNHG1#1) cells (Fig. 5C  and D).This strongly suggests that USP8 is pivotal in the SNHG1driven degradation of PTEN protein.Consistent with positive regulatory effect of USP8 on PTEN expression, ectopic expression of USP8 impaired the cell transformation due to SNHG1 overexpression (Fig. 5E and F), while knockdown of USP8 in U5637(shSNHG1) cells profoundly rescued the anchorage-independent growth ability of U5637(shSNHG1) cells (Fig. 5G and H).Further supporting these findings, USP8 knockdown in T24T(shSNHG1#1) led to a decrease in PTEN protein Fig. 4 SNHG1 promoted PTEN protein degradation.A and B Total RNA was extracted from the indicated UROtsa or U5637 transfectants using Trizol reagent.Real-Time PCR assays were then conducted to evaluate PTEN mRNA expression levels, utilizing GAPDH as an internal control.C and D The pMIR-PTEN 3'-UTR mRNA reporter was transiently transfected into the specified cells, followed by an assessment of the luciferase activity for each transfectant.The activity is depicted relative to scramble control transfectants and further normalized using an internal control, pRL-TK.Bars represent the mean ± SD from three separate experiments.E and F The designated cells were pretreated with the proteasome inhibitor MG132 (5 μM) for 10 h.Following this, the cells were exposed to CHX for the stipulated durations, and the cell extracts were subsequently analyzed through Western blotting.GAPDH served as a protein loading control expression and an enhancement of their anchorage-independent growth capabilities (Fig. S7A-C).Collectively, our results strongly indicate that USP8 serves as a critical mediator in the oncogenic effect of SNHG1 on human urothelial transformation and BC anchorage-independent growth by facilitating PTEN protein degradation.To explore whether PTEN protein might be a direct substrate of USP8, given its role as a de-ubiquitinating enzyme, we performed an immunoprecipitation assay.As shown in Fig. 5I, PTEN was presented in the immunecomplex pulled down of Flag-USP8 using anti-USP8 antibodies, strongly indicating the interaction USP8 enzyme with PTEN protein.This was further corroborated by evidence showing that USP8 overexpression eliminated the ubiquitination of PTEN protein (Fig. 5J).
In BBN treated mice, we observed a gradual decline in both PTEN and USP8 protein levels over time (Fig. 6A-C).Further, a strong positive correlation was evident between PTEN and USP8 protein expression in the urothelium of these BBN-treated mice (Fig. 6D).Similar trends were observed in the xenograft tumor model: both PTEN and USP8 protein levels were diminished in SNHG1 overexpressed tumor tissue, and these levels showed a positive correlation (Fig. 6E-H).After analysis of RNA-seq of individual 393 cells from BC tissues, we found that PTEN was positively correlated with USP8 (Fig. 6I).Taken together, we discovered that USP8 binds to PTEN protein, and consequently de-ubiquitinates and stabilizes PTEN protein.

SNHG1 promoted USP8 mRNA degradation through directly interacting with HUR protein
To elucidate the mechanisms underlying SNHG1 inhibition of USP8 expression, we first evaluated the potential Fig. 5 SNHG1 attenuated USP8 expression, consequently facilitating PTEN protein degradation.A-D The selected cell extracts underwent Western blot analysis to determine the expression levels of the indicated proteins.β-Actin was used as a protein loading control.E and F UROtsa(SNHG1/ Flag-USP8) and UROtsa(SNHG1/Vector) cells were evaluated for anchorage-independent growth, both with and without EGF, as specified.Following a 3-week incubation period, representative images of the colonies were captured under microscopy, and the colony count was conducted, with results presented as colonies per 50,000 cells.An asterisk (*) signifies a significant increase compared to the medium control, and the symbol (#) denotes significant inhibition relative to UROtsa(SNHG1/Vector) cells cultured in normal medium (p < 0.05), the symbol.(∆) indicates a significant decrease compared with UROtsa(SNHG1/Vector) cells treated with EGF (p < 0.05).G and H U5637 cells, including variants U5637(shSNHG1#1/ shUSP8#1) and U5637(shSNHG1#1/shUSP8#2), were subjected to an anchorage-independent growth assay.The number of colonies, each containing more than 32 cells, was tallied, and results were depicted as colonies per 10 4 cells.Bars represent the mean ± SD.I U5637 cells were transfected with Flag-USP8 or its vector control constructs, followed by coimmunoprecipitation with anti-Flag antibody-conjugated agarose beads.The immunoprecipitates were subsequently analyzed through immunoblotting to detect PTEN.J U5637 cells were transfected with ubiquitin-WT constructs in conjunction with Flag-USP8, as indicated.Transfectants were treated with the proteasome inhibitor MG132 (5 μM) for 10 h, 24 h' post-transfection.The cells were then lysed and co-immunoprecipitated with anti-PTEN antibody-conjugated agarose beads, followed by Western blot analysis using anti-Ub to detect PTEN ubiquitination effects of SNHG1 on the USP8 mRNA level and promoter-driven luciferase reporter activity.As shown in Fig. 7A, USP8 mRNA level was significantly inhibited in UROtsa(SNHG1) in comparison to UROtsa(Vector) cells.Interesting, while SNHG1 inhibited USP8 mRNA expression, it did not impact USP8 promoter-driven luciferase reporter activity (Fig. 7B), thereby ruling out transcriptional regulation of USP8 by SNHG1.Subsequently, we investigated the potential effect of SNHG1 on the stability of USP8 mRNA.UROtsa cells were treated with Act D over a time course and the results showed that USP8 mRNA degradation rates in UROtsa(SNHG1) cells were much faster than that in UROtsa(Vector) cells (Fig. 7C).These observations indicate that SNHG1 expedites USP8 mRNA degradation in UROtsa cells.These findings were also consistent observed in human invasive U5637 cells (Fig. 7D-F).
It is well-documented that mRNA binding proteins such as NCL, AUF1, and HUR can bind to their targeted mRNAs to regulate their stability [43][44][45][46][47][48].Thus, we next tested whether these RNAbinding proteins were involved in the SNHG1-mediated downregulation of USP8 mRNA stability.Figure 7G revealed that knockdown of SNHG1 expression notably increased NCL protein abundance, but had no discernible effect on AUF1 and HUR.To ascertain whether NCL destabilized USP8 mRNA, thereby regulating USP8 protein expression in U5637(shSNHG1#1) cells, we stably transfected shRNA specific targeting NCL into U5637(shSNHG1#1) cells.Knockdown of NCL expression did not yield any noticeable changes in USP8 protein expression (Fig. 7H), suggesting that NCL was not a SNHG1 downstream effector mediating its regulation of USP8 mRNA stability.Given our most recent studies indicating that HUR protein binds to USP8 mRNA and stabilizes USP8 mRNA [49], and lncRNAs binds to their targeted protein and affects their bound protein function [50][51][52][53][54][55], we further probed the potential interaction between SNHG1 and HUR protein and the data obtained from the online analyses using catRAPID, RPISeq, StarBase V2.0 did suggest their interaction.
To investigate this hypothesis, we conducted RNA-IP assays followed by qRT-PCR tests.Our data confirmed that HUR did specifically bind to SNHG1 (Fig. 8A).To substantiate this interaction, we further stably cotransfected SNHG1-MS2-overexpressing construct with HA-MS2-GFP into U5637 cells and performed the immunoprecipitation (IP) assay to verify the interaction of SNHG1 with HUR.As shown in Fig. 8B and C, HUR was specifically presented in the immune complex pulled down of HA-MS2 by using the anti-HA antibody in transfectants harboring SNHG1-MS2overexpressing, corroborating that SNHG1 does interact with HUR protein.Based on the HUR interaction with USP8 mRNA or SNHG1, we postulated that SNHG1 might serve as a competitive endogenous RNA USP8 mRNA by binding with HUR protein.To examine this notion, we assessed the USP8 mRNA level precipitated by the anti-HUR antibody in U5637(SNHG1) vs. U5637(Vector) cells.The results showed that ectopic expression of SNHG1 dramatically attenuated the USP8 mRNA level that was precipitated by the anti-HUR antibody in comparison to its scramble vector transfectant (Fig. 8D), suggesting that negative correlation of SNHG1 expression and USP8 mRNA expression.
In our quest to conclusively demonstrate that SNHG1 influence over downstream genes and cellular behaviors hinges on HUR, we had successfully engineered shHUR into U5637(Vector) and U5637(SNHG1) for the targeted knockdown of HUR, as illustrated in Fig. 8E.Our findings revealed a significant insight: knocking down HUR in U5637(Vector) contrasted sharply with U5637(Vector/ Nonsense), leading to a notable reduction in USP8 and PTEN protein levels (Fig. 8E).This reduction was not just a molecular change; it translated into a pronounced enhancement in the cell anchorage-dependent proliferation abilities, as captured in Fig. 8F and G, and altered the cell cycle dynamics, increasing the proportion of cells in the G2/M phase while decreasing those in the G0/G1 phase (Fig. 8H and I).These results pointed to a critical Fig. 7 SNHG1 promotes USP8 mRNA Degradation.A and D Total RNA was extracted from UROtsa(SNHG1) versus UROtsa(Vector) cells, and U5637(shSNHG1#1) cells, U5637(shSNHG1#2) versus U5637(Nonsense) cells using Trizol reagent.Real-time PCR assays were conducted to measure USP8 mRNA expression levels, with GAPDH serving as an internal control.B and E A luciferase reporter driven by the human USP8 promoter was utilized to assess promoter transcription activity in the indicated transfectants.Results were normalized against internal TK activity.C and F The specified cells were seeded into 6-well plates and cultured until they reached 80% confluence.Post-synchronization, the cells were treated with Act D for designated durations.Total RNA was subsequently isolated and subjected to real-time PCR analysis to ascertain USP8 mRNA levels, again using GAPDH as an internal control.G Western blot analysis was performed on the chosen cell extracts to determine protein expression levels of NCL, AUF1, and HUR, with β-Actin acting as a protein loading control.H An NCL shRNA construct was stably transfected into U5637(shSNHG1#1) cells.The efficiency of NCL protein knockdown and the expression of USP8 were evaluated through Western blotting, utilizing β-Actin as a protein loading control role of HUR in sustaining USP8 stability.The knockdown of HUR initiated a cascade of cellular changes, starting from a decrease in USP8 and PTEN, leading to escalated cell division and augmented anchorage-dependent proliferation capabilities.In a parallel scenario, knocking down HUR in U5637(SNHG1), as compared to U5637(SNHG1/ Nonsense), yielded similar outcomes, as evidenced in Fig. 8E-I.Importantly, U5637(SNHG1/shHUR) stood out, demonstrating an even more potent ability in anchoragedependent proliferation, with a higher fraction of cells progressing through the S and G2/M phases and fewer remaining in the G0/G1 phase, as detailed in Fig. 8F-I.This finding underscores the fact that HUR knockdown can further amplify the effects of SNHG1 overexpression on downstream genes and cellular proliferation, solidifying the notion that SNHG1 regulatory control over these genes and cell behaviors is intricately dependent on HUR.
In summary, these results demonstrate that SNHG1 can competitively bind to HUR protein, by which reduces its binding with USP8 mRNA, thereby diminishing HUR's ability to stabilize USP8 mRNA.This, in turn, accelerates the degradation of PTEN protein, ultimately promoting malignant transformation in urothelial cells facilitating BMIBC anchorage-independent growth/ tumorigenesis.

Discussion
BC stands as the leading cause of death among malignancies of the urinary system globally [56].Despite surgical interventions like radical cystectomy, an alarming 50-60% of MIBCs progress to metastatic stages, accounting for nearly all BC-related fatalities [57][58][59][60].Consequently, understanding the underlying biological mechanisms is paramount for effective disease management.Our research identifies SNHG1, a lncRNA, as a pivotal regulator in the transformation of human urothelial cells and the promotion of tumorigenesis in basal muscle invasive BC cells.In mouse models exposed to BBN, a bladder-specific carcinogen, we observed the initiation of primary BMIBCs alongside significant Fig. 8 SNHG1 promotes USP8 mRNA degradation through direct interaction with HUR protein.A The SNHG1 expression level in anti-HUR pulled-down complex was analyzed using real-time PCR, with Control IgG serving as a reference.The results are depicted as relative SNHG1 levels, and bars represent the mean ± SD of triplicate measurements.An asterisk (*) indicates a significant increase compared to the complex pulled down with control IgG (p < 0.05).B A schematic diagram illustrates the binding of SNHG1 with HUR.C U5637 cells were transfected with HA-MS2 in combination with either SNHG1-MS2overexpressing or pSL-MS2-12X control constructs.Co-immunoprecipitation was executed using anti-HA antibody-conjugated agarose beads, and the immunoprecipitates were subsequently analyzed by Western blotting to detect HUR.D The USP8 mRNA expression level was assessed using qRT-PCR, with IgG acting as a control.The results are presented as relative SNHG1 levels, and bars signify the mean ± SD of triplicates.An asterisk (*) denotes a significant difference compared to the vector transfectant (p < 0.05).E HUR shRNA construct and the nonsense were stably transfected into U5637(Vector) and U5637(SNHG1); and the expression of HUR, USP8 and PTEN were evaluated by Western blot.F-G Anchorage-independent assay was performed for all cell lines as indicated, the representative images were shown (F), the number of colonies were counted and compared (G).* P < 0.05 versus U5637(Vector/Nonsense), # P < 0.05 versus U5637(SNHG1/Nonsense), Δ P < 0.05 versus U5637(Vector/shHUR). H-I Cell cycle analysis.The percentages of indicated cell line in different cell cycle stages were tested by flow cytometry, the representative results were showed (H), then they were compared by t-test (I).* P < 0.05 versus U5637(Vector/Nonsense), # P < 0.05 versus U5637(SNHG1/Nonsense), Δ P < 0.05 versus U5637(Vector/shHUR) downregulation of the PTEN tumor-suppressor protein.Intriguingly, SNHG1 was markedly upregulated in a time-dependent manner in normal human urothelial cells (UROtsa), and its ectopic expression was sufficient to induce malignant transformation, suggesting SNHG1's potential to mimic the carcinogenic effects of BBN.Functional studies employing both overexpression and knockdown approaches further substantiated SNHG1's critical role in enabling anchorage-independent growth and tumorigenesis in human BMIBCs.Our mechanistic insights revealed that SNHG1 directly interacts with the mRNA binding protein HUR.This interaction leads to a reduction in HUR's affinity for USP8 mRNA, triggering its degradation and subsequently inducing PTEN protein polyubiquitination and degradation.This cascade of events ultimately drives both urothelial cell transformation and BC cell tumorigenesis, as illustrated in Fig. 9.These findings not only deepen our understanding of BC pathogenesis but also spotlight SNHG1 as a potential key player, opening avenues for new diagnostic and therapeutic strategies.
Elevated expression of the RNA SNHG1 has been implicated in various forms of cancer [18,19].Specifically, its high expression levels in colorectal cancer (CRC) tissues have been linked to both metastasis and unfavorable patient outcomes.This is predominantly due to the activation of the Wnt/βcatenin pathway [61] and the subsequent upregulation of key proteins such as β-catenin and MMP-9 [62].Furthermore, the oncogenic impact of SNHG1 on CRC cell proliferation is connected to its ability to suppress the p53 tumor suppressor gene [63] and to sequester miR-145 [64].In addition, SNHG1 fosters cancer cell growth by inhibiting miR-195 and miR-199a, while also facilitating cancer invasion through its direct interaction with the PP2A catalytic subunit, ultimately triggering autophagy [20,65,66].
In our recent research, we have uncovered a significant finding: SNHG1 is markedly upregulated in both human urothelial cells in vitro and mouse urothelium in vivo when exposed to the chemical carcinogen BBN, showing a time-dependent increase in expression levels.More importantly, we have found that the mere overexpression of SNHG1 is sufficient to initiate malignant transformation in human urothelial cells.This upregulation plays a vital role in enhancing both anchorage-independent cell growth in vitro and tumorigenicity in nude mice in vivo.Mechanistically, we found that this involves the degradation of the tumor suppressor protein PTEN in invasive bladder cancer cells.This new insight not only expands our understanding of SNHG1's multifaceted role in oncogenesis but also highlights its potential as a key molecular player in urothelial malignancies.
PTEN is a well-established tumor suppressor gene, commonly subject to mutations or downregulation across various cancer types, including bladder cancer.It has been demonstrated in earlier research that PTEN functions as a tumor suppressor by negatively modulating the PI3K/Akt/mTOR signaling pathway [12,15,67].Recent studies have also highlighted the influence of lncRNAs on PTEN expression.For instance, a study by Ma et al. revealed that the anti-differentiation noncoding RNA (ANCR) facilitates cell proliferation and confers radiation resistance in nasopharyngeal carcinoma by suppressing PTEN transcription.This occurs through ANCR's interaction with the oncogenic histone methyltransferase component of the polycomb repressive complex 2 [68].In our current work, we discovered that the overexpression of SNHG1 enables it to bind with the mRNA-binding protein HUR.This interaction interferes with HUR's ability to stabilize USP8 mRNA, leading to its degradation.The subsequent reduction in USP8 levels triggers the degradation and downregulation of PTEN protein.This cascade of molecular events results in the transformation of UROtsa cells and promotes anchorageindependent growth in human invasive U5637 cells, further underscoring the intricate regulatory networks that influence cancer progression.Ubiquitination involves the covalent attachment of poly-ubiquitin chains to target proteins, facilitated through a series of signaling events.Deubiquitinating enzymes (DUBs) are specialized proteases that can undo this process by modifying or disassembling these polyubiquitin chains [69].This dynamic equilibrium between ubiquitination and deubiquitination plays a pivotal role in numerous cellular functions and regulatory mechanisms [70].Prior research has indicated that the degradation of the PTEN protein is controlled by the ubiquitin-dependent proteasomal degradation pathway [10,71], with E3 ligases such as NEDD4, WWP2, and XIAP acting as mediators for PTEN ubiquitination [13].Our current investigation unveils that SNHG1 accelerates the degradation of PTEN protein via this ubiquitindependent pathway.Interestingly, SNHG1's influence did not significantly alter the levels of the afore mentioned E3 ligases.Additionally, we observed that overexpression of SNHG1 effectively suppressed USP8 levels, while its knockdown led to a substantial increase in USP8 expression.As DUBs can serve as either inhibitors or activators of the ubiquitin system, they play a crucial role in regulating protein degradation [72,73].USP8, an endosome-associated DUB, has been found to control the ubiquitination and degradation of various membrane proteins [74,75].Earlier studies demonstrated that USP8 serves as a novel deubiquitylase for the Notch1 intracellular domain, influencing the Notch signaling pathway.Our gain-and-loss functional assays further showed that USP8 positively regulates PTEN protein levels.Notably, USP8 directly interacts with PTEN, reducing its ubiquitination.These groundbreaking findings reveal PTEN as a novel substrate for USP8, and indicate that PTEN degradation facilitated by SNHG1 overexpression is directly mediated through the deubiquitin-specific enzyme USP8.The abnormal expression of SNHG1 and PTEN was also confirmed in TCGA database.We found that SNHG1 was significantly up-regulated in human bladder cancer tissues, and PTEN protein level was significantly downregulated in advanced bladder cancer tissues (Figure S1), which supported our conclusion.To summarize, our research reveals that elevated SNHG1 levels significantly contribute to the transformation of normal human urothelial cells and to the anchorage-independent growth and tumorigenesis of human BMIBC.This occurs primarily through the suppression of PTEN protein expression.The SNHG1-induced decline in PTEN is attributable to an increase in PTEN protein degradation, facilitated by the reduction of USP8dependent deubiquitination.Moreover, SNHG1 disrupts the stability of USP8 mRNA by competing with it for binding to the HUR protein.The regulatory axis we've identified, involving SNHG1 and PTEN in the onset and progression of BC, holds potential for future diagnostic and therapeutic strategies.It was important to note that in our study, the SNHG1-PTEN axis demonstrated a strong correlation relative to other signaling proteins we investigated.We acknowledge that the pathways influenced by PTEN are likely to be multifaceted, and SNHG1 may not be the sole regulator.Looking ahead, we will employ omics techniques to identify key gene sets that are significantly altered within the PTEN signaling pathway.

Conclusion
Our work unveils a groundbreaking insight: PTEN is a novel substrate for USP8.Overexpressed SNHG1 competes with USP8 for binding to HUR, leading to decreased USP8 mRNA stability and protein expression.This chain of events culminates in PTEN degradation and consequently fosters both urothelial transformation and the anchorage-independent growth of invasive BC cells.Alongside our recent findings that SNHG1 promotes BC invasion and metastasis [20], these discoveries underscore the capability of SNHG1 to emulate the carcinogenic effects of the bladder-specific chemical carcinogen BBN.The implications of these findings are substantial, offering new avenues for understanding the pivotal role of SNHG1 in the promotion and progression of BC.Not only does this position SNHG1 or PTEN as a promising new biomarker for the early detection, diagnosis, and prognostic assessment of BC, but it also suggests that targeting SNHG1 or PTEN can be a viable strategy for the prevention and treatment of BCs.

Fig. 3
Fig.3The downregulation of PTEN mediated SNHG1' s promotion of urothelial cell transformation, anchorage-independent cell growth and tumorigenesis in BC.A-C The indicated cell extracts were analyzed by Western blot to determine the expression of PTEN, PHLPP1, PHPPL2, p63α, PP2A-A, PP2A-B, and PP2A-C.β-Actin served as a protein loading control.D-E AKT and p-AKT (T308) were determined by Western blot in UROtsa(SNHG1) versus UROtsa(Vector) cells (D), and T24T(shSNHG1#1) cells, T24T(shSNHG1#2) cells versus T24T(Nonsense) cells (E).β-Actin was the protein loading control.F A PTEN-overexpressing construct was stably transfected into UROtsa(SNHG1) cells, and Western blot analysis was performed to confirm PTEN protein expression.G and H UROtsa(SNHG1/PTEN) and UROtsa(SNHG1/Vector) transfectants were analyzed for anchorage-independent growth in the presence or absence of EGF, as indicated.Representative images of the colonies were captured under microscopy after a 3-week incubation period.The colony count was conducted under microscopy, with results presented as colonies per 50,000 cells.An asterisk (*) signifies a significant increase compared to the medium control, while the symbol (#) denotes significant inhibition compared to UROtsa(SNHG1/Vector) cells treated with EGF (p < 0.01).I PTEN shRNA construct was stably transfected into U5637(shSNHG1#1) cells, and PTEN knockdown efficiency was verified by Western blotting.J and K U5637(shSNHG1#1/shPTEN) cells versus U5637(shSNHG1#1/ Nonsense) cells were subjected to an anchorage-independent soft agar assay.The number of colonies, each with more than 32 cells, was counted, and the results were presented as colonies/10 4 cells.Bars depict the mean ± SD, and an asterisk (*) indicates a significant increase compared to the U5637(shSNHG1#1/Nonsense) transfectant (p < 0.01)

Fig. 6
Fig. 6 PTEN protein expression exhibits a positive correlation with USP8 expression levels both in vivo and at the single-cell dimension.A PTEN and USP8 expression in BBN-treated mouse urothelium were assessed via immunohistochemistry (IHC).B-C Time-dependent analysis of PTEN and USP8 expression levels in BBN-treated mouse bladder urothelium, denoted by integrated optical density (IOD); * p < 0.05, **p < 0.01, ****p < 0.0001.D Correlation between PTEN and USP8 expression levels in BBN-treated mouse urothelium over a period ranging from 4 to 18 weeks, measured by the Pearson coefficient (r).E-H PTEN and USP8 expressions were evaluated in tumor tissues from athymic nude mice injected with SNHG1-overexpressed cells and corresponding vector scramble transfectants (E).Their expression levels were quantified and depicted by IOD/area (F-G), and the correlation between PTEN and USP8 was calculated using the Pearson coefficient (H).Bars represent the mean ± SD for each group.Student's t-test was employed to determine the p-value, with an asterisk (*) indicating a significant increase compared to Vector transfectants (p < 0.05).I The correlation between PTEN and USP8 in 393 cells from BC tissues was analyzed (GSE135337, BC single-cell RNA-seq)

Fig. 9
Fig.9 The graphical abstract of this study.It outlines the mechanisms by which SNHG1 overexpression alone drives normal urothelial cell transformation and fosters anchorage-independent growth in human BMIBC cells through downregulating PTEN protein

Table 1
Specific primers used for PCR amplification